{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T20:09:30Z","timestamp":1784837370555,"version":"3.55.0"},"reference-count":46,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"9","license":[{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,26]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Vertebral artery loops are a rare cause of cervical radiculopathy. Surgical options for nerve root decompression include an anterior or posterior approach, with or without additional microvascular decompression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors describe a case of a 49-year-old man with a long-standing history of left-sided neck pain and migraines, who was found to have a vertebral artery loop in the left C3\u20134 neural foramen compressing the left C4 nerve root. The patient underwent a posterior cervical decompression with instrumented fusion and macrovascular decompression of the left C4 nerve root via Teflon felt insertion. In a literature review, we identified 20 similar cases that had also been managed surgically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Although the anterior approach is more frequently described in the literature, a posterior approach for nerve compression by a vertebral artery loop is also a safe and effective treatment. The authors report the third case of this surgical approach with a good outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23254","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T18:58:40Z","timestamp":1708973920000},"source":"Crossref","is-referenced-by-count":5,"title":["Microvascular decompression of a vertebral artery loop causing cervical radiculopathy: illustrative case"],"prefix":"10.3171","volume":"7","author":[{"given":"Alexa","family":"Semonche","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Rinaldo","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Dubnicoff","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harlan","family":"Matles","sequence":"additional","affiliation":[{"name":"Menlo Park Concierge Medicine, Menlo Park, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Columbia University Vagelos College of Physicians and Surgeons, New York, New York; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adib","family":"Abla","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward F","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3-4","key":"b1","series-title":"World Neurosurg","first-page":"375.e11","article-title":"Vertebral artery loop\u2014a cause of cervical radiculopathy","volume":"78","author":"Chibbaro S","year":"2012","unstructured":"Chibbaro S, Mirone G, Yasuda M, Marsella M, Di Emidio P, George B Vertebral artery loop\u2014a cause of cervical radiculopathy. 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World Neurosurg. 2017;101:289\u2013295."},{"key":"b3","series-title":"World Neurosurg","first-page":"28","article-title":"Surgical interventions for cervical radiculopathy caused by a vertebral artery loop: a case report and review of the literature","volume":"135","author":"Tonsbeek AM","year":"2020","unstructured":"Tonsbeek AM, Groen JL, Vleggeert-Lankamp CLAM Surgical interventions for cervical radiculopathy caused by a vertebral artery loop: a case report and review of the literature. World Neurosurg. 2020;135:28\u201334."},{"issue":"12","key":"b4","series-title":"Eur Spine J","first-page":"1","article-title":"The diagnosis and management of a vertebral artery loop causing cervical radiculopathy","volume":"30","author":"Wood L","year":"2021","unstructured":"Wood L, Czyz M, Forster S, Boszczyk BM The diagnosis and management of a vertebral artery loop causing cervical radiculopathy. Eur Spine J. 2021;30(12):1\u20136."},{"issue":"22","key":"b5","series-title":"Spine (Phila Pa 1976)","first-page":"2860","article-title":"Tortuous course of the vertebral artery and anterior cervical decompression: a cadaveric and clinical case study","volume":"25","author":"Curylo LJ","year":"2000","unstructured":"Curylo LJ, Mason HC, Bohlman HH, Yoo JU Tortuous course of the vertebral artery and anterior cervical decompression: a cadaveric and clinical case study. Spine (Phila Pa 1976). 2000;25(22):2860\u20132864."},{"issue":"12","key":"b6","series-title":"Eur Spine J","first-page":"4171","article-title":"Vertebral artery loops in surgical perspective","volume":"25","author":"Ek\u015fi MS","year":"2016","unstructured":"Ek\u015fi MS, Tokta\u015f ZO, Y\u0131lmaz B,  Vertebral artery loops in surgical perspective. 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